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psnet.ahrq.gov/issue/medication-errors-pediatrics-octopus-evading-defeat
March 14, 2022 - Review
Medication errors in pediatrics—the octopus evading defeat.
Citation Text:
Sullivan JE, Buchino JJ. Medication errors in pediatrics--the octopus evading defeat. J Surg Oncol. 2004;88(3):182-8.
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psnet.ahrq.gov/issue/evolution-safety-culture
March 17, 2021 - Commentary
The evolution of a safety culture.
Citation Text:
Patton BS, Donovan KJ. The Evolution of a Safety Culture. Air Med J. 2015;34(5):264-8. doi:10.1016/j.amj.2015.05.012.
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psnet.ahrq.gov/issue/jcaho-patient-safety-event-taxonomy-standardized-terminology-and-classification-schema-near
June 04, 2014 - Commentary
Classic
The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events.
Citation Text:
Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized t…
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psnet.ahrq.gov/issue/effects-screen-point-care-computer-reminders-processes-and-outcomes-care
September 20, 2011 - Review
The effects of on-screen, point of care computer reminders on processes and outcomes of care.
Citation Text:
Shojania KG, Jennings A, Mayhew A, et al. The effects of on-screen, point of care computer reminders on processes and outcomes of care. Cochrane Database Syst Rev. 2009;(3…
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psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-settings
December 31, 2014 - Review
Monitoring for medication errors in outpatient settings.
Citation Text:
Balkrishnan R, Foss CE, Pawaskar M, et al. Monitoring for medication errors in outpatient settings. J Dermatolog Treat. 2009;20(4):229-32. doi:10.1080/09546630802607487.
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psnet.ahrq.gov/issue/barriers-and-facilitators-related-implementation-surgical-safety-checklists-systematic-review
December 05, 2018 - Review
Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence.
Citation Text:
Bergs J, Lambrechts F, Simons P, et al. Barriers and facilitators related to the implementation of surgical safety checklists: a s…
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psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it
March 27, 2019 - Commentary
The opioid epidemic: what can surgeons do about it?
Citation Text:
The opioid epidemic: what can surgeons do about it? Saluja S, Selzer D, Meara JG, et al. Bull Am Coll Surg. 2017;102(7):13-18.
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psnet.ahrq.gov/issue/overextended-fighting-fatigue-long-shifts
January 29, 2018 - Commentary
Overextended: fighting the fatigue of long shifts.
Citation Text:
Douglass JA. Overextended: Fighting the fatigue of long shifts. Nursing (Brux). 2014;44(3):67-8. doi:10.1097/01.NURSE.0000441895.42899.0c.
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psnet.ahrq.gov/issue/medical-and-nursing-staff-highly-value-clinical-pharmacists-emergency-department
September 09, 2008 - Study
Medical and nursing staff highly value clinical pharmacists in the emergency department.
Citation Text:
Fairbanks RJ, Hildebrand JM, Kolstee KE, et al. Medical and nursing staff highly value clinical pharmacists in the emergency department. Emergency Medicine Journal. 2007;24(10)…
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psnet.ahrq.gov/issue/effect-hospitalist-discontinuity-adverse-events
August 25, 2011 - Study
The effect of hospitalist discontinuity on adverse events.
Citation Text:
O'Leary KJ, Turner J, Christensen N, et al. The effect of hospitalist discontinuity on adverse events. J Hosp Med. 2015;10(3):147-51. doi:10.1002/jhm.2308.
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psnet.ahrq.gov/issue/new-view-human-error-origins-ambiguities-successes-and-critiques
August 12, 2020 - Commentary
The ‘new view’ of human error. Origins, ambiguities, successes and critiques.
Citation Text:
Le Coze JC. The ‘new view’ of human error. Origins, ambiguities, successes and critiques. Safety Sci. 2022;154:105853. doi:10.1016/j.ssci.2022.105853.
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psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc
January 12, 2022 - Commentary
Will human factors restore faith in the GMC?
Citation Text:
Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037.
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psnet.ahrq.gov/issue/effect-pharmacist-adverse-drug-events-and-medication-errors-outpatients-cardiovascular
July 31, 2013 - Study
Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease.
Citation Text:
Murray MD, Ritchey ME, Wu J, et al. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Arch …
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psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory
October 08, 2008 - Commentary
What's the difference between a hospital and a bottling factory?
Citation Text:
Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20 1). doi:10.1136/bmj.b2727.
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psnet.ahrq.gov/issue/culture-safety-results-organization-wide-survey-15-california-hospitals
November 18, 2009 - Study
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The culture of safety: results of an organization-wide survey in 15 California hospitals.
Citation Text:
Singer SJ, Gaba DM, Geppert JJ, et al. The culture of safety: results of an organization-wide survey in 15 California hospitals. Qual Saf Hea…
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psnet.ahrq.gov/issue/reforming-veterans-health-administration-beyond-palliation-symptoms
May 11, 2019 - Commentary
Reforming the Veterans Health Administration—beyond palliation of symptoms.
Citation Text:
Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438.
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psnet.ahrq.gov/issue/preventable-errors-operating-room-part-2-retained-foreign-objects-sharps-injuries-and-wrong
April 25, 2018 - Review
Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery.
Citation Text:
Dagi F, Berguer R, Moore S, et al. Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surg…
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psnet.ahrq.gov/issue/quality-performance-improvement-teamwork-information-technology-and-protocols
November 03, 2015 - Commentary
Quality: performance improvement, teamwork, information technology and protocols.
Citation Text:
Coleman NE, Pon S. Quality: performance improvement, teamwork, information technology and protocols. Crit Care Clin. 2013;29(2):129-51. doi:10.1016/j.ccc.2012.11.002.
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psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
December 07, 2016 - Study
Effect of surgical safety checklists on pediatric surgical complications in Ontario.
Citation Text:
O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333.
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psnet.ahrq.gov/issue/bearing-witness-ethics-practice-storying-physicians-medical-mistake-narratives
July 17, 2024 - Study
Bearing witness to the ethics of practice: storying physicians' medical mistake narratives.
Citation Text:
Carmack HJ. Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. Health Commun. 2010;25(5):449-58. doi:10.1080/10410236.2010.484876.
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